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NOTE: PULL ALCIVEIRMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006324 <br /> DATE RECEIVED by EUD: November 20,2006 APPL#: PA-0600586 REV <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 21.663 S VAN ALLEN RD, ESCALON APN : 24523005 06 08 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer:. <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> � h a'!/!lG �.�I�t.�..+�1� ems--- rwr`oy��✓!� <br /> Gts-6-- <br /> ` <br /> I recommend: Approval DenialEl <br /> Continuance Inspect <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> _._ ---- - <br /> SUPERVISOR/LEAD SENIOR Approval: AA Date: <br /> Oi411 POff LISt b :, " ? , <br /> C09N,D1' Q (S)�'. �^ :t 'r n - r � <br /> Y <br /> Il <br /> ,h,...__—.. ... � . <br /> :H 06 06 Report 47201 December 12,2006 <br />